NP / PA
Mercy Pediatrics
Mercy Pediatrics was paid $418K by Medicaid between Jan 2023 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoMERCY PEDIATRICS
NAUGATUCK, CT 06770
NAUGATUCK, CT 06770
33aNPI1326765546assigned 10/27/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$418K
24GClaims18,482
24DCodes billed45
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#25 of 108
Median peer was paid$32K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 9,204 | $195K | |
| 2024incomplete | 9,278 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 3,486 | 2,226 | $173K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 411 | 343 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 404 | 330 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 2,581 | 1,135 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 398 | 223 | $23K |
| 92558 | 5.1% | 1,136 | 1,009 | $21K | |
| 99174 | 4.1% | 1,179 | 1,034 | $17K | |
| 96127 | 4.0% | 1,648 | 756 | $17K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.3% | 383 | 136 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 182 | 153 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 642 | 455 | $8K |
| 96160 | 1.8% | 1,171 | 730 | $7K |
33 more codes
| 99188 | 1.2% | 570 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 232 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 251 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 23 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 77 | $2K |
| 99382 | <1% | 99 | $2K | |
| 99383 | <1% | 106 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 168 | $1K |
| 83655 | <1% | 137 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 71 | $692.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 43 | $577.09 |
| 96161 | <1% | 79 | $243.00 | |
| 99173 | <1% | 99 | $225.72 | |
| 92551 | <1% | 98 | $192.72 | |
| 36416 | <1% | 233 | $84.24 | |
| 85018 | <1% | 713 | $22.33 | |
| 90633 | <1% | 29 | $0.03 | |
| 90686 | <1% | 241 | $0.02 | |
| 90651 | <1% | 220 | $0.02 | |
| 90715 | <1% | 159 | $0.02 | |
| 90619 | 0% | 81 | $0.00 | |
| 90688 | 0% | 81 | $0.00 | |
| 90620 | 0% | 14 | $0.00 | |
| 90716 | 0% | 150 | $0.00 | |
| 90680 | 0% | 54 | $0.00 | |
| 90700 | 0% | 55 | $0.00 | |
| 90707 | 0% | 137 | $0.00 | |
| 90648 | 0% | 31 | $0.00 | |
| 90713 | 0% | 76 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 27 | $0.00 |
| 90671 | 0% | 82 | $0.00 | |
| 90710 | 0% | 49 | $0.00 | |
| 90461 | 0% | 376 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAGYEMANG, ESTHER (OWNER)